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Individual
MS. THERESA ANN KENNEDY PATTON
Active
Individual
MS. THERESA ANN KENNEDY PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC CRC LPC LCAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15216
AZ
101YA0400X
Addiction (Substance Use Disorder) Counselor
16405
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
1804
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
87001357A
IN
101YM0800X
Mental Health Counselor
11965125
WI
101YM0800X
Mental Health Counselor
Primary
180015238
IL
101YM0800X
Mental Health Counselor
2025015218
MO
101YM0800X
Mental Health Counselor
23605
AZ
101YP2500X
Professional Counselor
23605
AZ
225C00000X
Rehabilitation Counselor
204377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114210721
BLUE CROSS BLUE SHIELD
IL
05
—
1114210721
—
IL
Enumeration date
05/16/2011
Last updated
06/25/2026
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